Evaluation Worksheet for Certificate		Industrial Maintenance Fundamentals
SID:	________________________________	Skills Certificate - 3238
		Effective: Fall 2019
		Engineering and Applied Technology
Name:	________________________________	(707) 527-4603

REQUIREMENTS: Complete 11.0 units Industrial Maintenance Fundamentals Requirements - complete 11.0 units Course Description Units Completed In Progress Comments ELEC 153  Programmable Logic Controllers 3.0       ELEC 154  Rotating Machinery 3.0         Complete any combination totaling at least 3.0 units from the following: ELEC 51A  Fundamentals of Electricity 3.0       ELEC 54A  Direct and Alternating Current Theory 3.0         Complete any combination totaling at least 2.0 units from the following: DET 184  Mobile Hydraulic Systems 3.0       MACH 51A  Beginning Machine Tool Technology 2.0       WEOC 99  Occupational Work Experience 0.5-8.0       WEOC 99I  Occupational Work Experience Internship 0.5-8.0       WELD 170  Beginning Welding: Fundamentals of Arc and Gas Welding 2.0

	Evaluation worksheet completed upon receipt of Transfer Credit Evaluation form. Includes credit from other institutions only received to date.
	Evaluation worksheet completed for ________________________________. Includes all SRJC and transfer credit received to date.

Units completed:    __________ Units in progress:    __________ Total:    __________

Requirements Completed     Pending (work in progress)     Requirements Not Completed

Comments

Date: ________________________   By: ____________________________________________